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Contact Me

'I would like to speak with a Liberty Advantage representative to discuss the Liberty Advantage (HMO I-SNP), Liberty Advantage Gold (HMO I-SNP), or Liberty at Home (HMO I-SNP) Plan that includes a prescription drug benefit.

You have my permission to contact me at the phone number, or email address, below.


By signing and returning this reply card, you are agreeing to a meeting with a Liberty Advantage representative to discuss Liberty Advantage Special Needs Plan. By signing this form, you are also agreeing to be contacted by phone and/or email. You may opt out of email at any time by replying STOP. Signing this form does not obligate you to enroll in the plan, automatically enroll you in the plan, or affect your current or future Medicare enrollment status.

Checking this box provides your electronic signature.



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